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Robust and Flexible Estimation of Stochastic Mediation Effects: A Proposed Method and Example in a Randomized Trial Setting.随机中介效应的稳健灵活估计:一种在随机试验环境中的提议方法及示例
Epidemiol Methods. 2018;7(1). doi: 10.1515/em-2017-0007. Epub 2017 Dec 13.
2
A longitudinal study on social support, social participation, and older Europeans' Quality of life.一项关于社会支持、社会参与和欧洲老年人生活质量的纵向研究。
SSM Popul Health. 2021 Feb 3;13:100747. doi: 10.1016/j.ssmph.2021.100747. eCollection 2021 Mar.
3
Offspring Educational Attainment and Older Parents' Cognition in Mexico.子女受教育程度与墨西哥高龄父母认知能力的关系
Demography. 2021 Feb;58(1):75-109. doi: 10.1215/00703370-8931725. Epub 2021 Jan 18.
4
The Utility of Assessing Health-Related Quality of Life to Predict Cognitive Decline and Dementia.评估健康相关生活质量对预测认知能力下降和痴呆的效用。
J Alzheimers Dis. 2021;80(2):895-904. doi: 10.3233/JAD-201349.
5
Education and Cognitive Functioning Across the Life Span.教育与全生命周期认知功能
Psychol Sci Public Interest. 2020 Aug;21(1):6-41. doi: 10.1177/1529100620920576.
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Dementia prevention, intervention, and care: 2020 report of the Lancet Commission.《痴呆症的预防、干预与照护:柳叶刀委员会2020年报告》
Lancet. 2020 Aug 8;396(10248):413-446. doi: 10.1016/S0140-6736(20)30367-6. Epub 2020 Jul 30.
7
How children's education affects caregiving: Evidence from parent's last years of life.儿童教育如何影响照料:来自父母晚年的证据。
Econ Hum Biol. 2020 Aug;38:100875. doi: 10.1016/j.ehb.2020.100875. Epub 2020 Apr 11.
8
The Education of Multiple Family Members and the Life-Course Pathways to Cognitive Impairment.多家庭成员教育与认知障碍的生命历程途径。
J Gerontol B Psychol Sci Soc Sci. 2020 Aug 13;75(7):e113-e128. doi: 10.1093/geronb/gbaa039.
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Lifecourse epidemiology matures: Commentary on Zhang et al. "Early-life socioeconomic status, adolescent cognitive ability, and cognition in late midlife".生命周期流行病学成熟:张等人“生命早期社会经济地位、青少年认知能力与中年后期认知”的评论。
Soc Sci Med. 2020 Jan;244:112645. doi: 10.1016/j.socscimed.2019.112645. Epub 2019 Nov 1.
10
Does children's education matter for parents' health and cognition? Evidence from China.儿童教育对父母的健康和认知有影响吗?来自中国的证据。
J Health Econ. 2019 Jul;66:222-240. doi: 10.1016/j.jhealeco.2019.06.004. Epub 2019 Jun 14.

成人子女教育与欧洲健康、老龄化和退休研究调查中老年人认知结果:一项准实验研究。

Adult Child Schooling and Older Parents' Cognitive Outcomes in the Survey of Health, Aging and Retirement in Europe (SHARE): A Quasi-Experimental Study.

出版信息

Am J Epidemiol. 2022 Oct 20;191(11):1906-1916. doi: 10.1093/aje/kwac151.

DOI:10.1093/aje/kwac151
PMID:36040294
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9767648/
Abstract

A growing body of research suggests that adult child educational attainment benefits older parents' cognitive outcomes via financial (e.g., direct monetary transfers) and nonfinancial (e.g., psychosocial) mechanisms. Quasi-experimental studies are needed to circumvent confounding bias. No such quasi-experimental studies have been completed in higher-income countries, where financial transfers from adult children to aging parents are rare. Using data on 8,159 adults aged ≥50 years in the Survey for Health, Aging and Retirement in Europe (2004/2005), we leveraged changes in compulsory schooling laws as quasi-experiments. Each year of increased schooling among respondents' oldest children was associated with better verbal fluency (β = 0.07, 95% CI: 0.02, 0.12) scores; overall associations with verbal memory scores were null, with mixed and imprecise evidence of association in models stratified by parent gender. We also evaluated associations with psychosocial outcomes as potentially important mechanisms. Increased schooling among respondents' oldest children was associated with higher quality-of-life scores and fewer depressive symptoms. Our findings present modest albeit inconsistent evidence that increases in schooling may have an "upward" influence on older parents' cognitive performance even in settings where financial transfers from adult children to their parents are uncommon. Associations with parents' psychosocial outcomes were more robust.

摘要

越来越多的研究表明,成年子女的受教育程度通过经济(例如,直接货币转移)和非经济(例如,心理社会)机制有益于老年父母的认知结果。需要进行准实验研究来规避混杂偏差。在高收入国家,尚未完成此类准实验研究,因为成年子女向老年父母的经济转移很少见。利用欧洲健康、老龄化和退休调查(2004/2005 年)中 8159 名年龄≥50 岁的成年人的数据,我们利用义务教育法的变化作为准实验。受访者的最年长子女受教育年限每增加一年,与更好的言语流畅性(β=0.07,95%CI:0.02,0.12)得分相关;与言语记忆得分的总体相关性为零,在按父母性别分层的模型中,关联存在混合且不精确的证据。我们还评估了与心理社会结果的关联,作为潜在的重要机制。受访者最年长子女的受教育年限增加与更高的生活质量评分和更少的抑郁症状相关。我们的研究结果提供了适度但不一致的证据,表明即使在成年子女向父母转移资金不常见的情况下,受教育程度的提高也可能对老年父母的认知表现产生“向上”的影响。与父母心理社会结果的关联更为稳健。